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Jan 23, 2023

Hollywood, FL

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Corporate Operations

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Perm

{"JobID":257392,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-80.1572727272727,"Longitude":26.0217272727273,"Distance":null},"State":"Florida","Zip":"33025","ReferenceID":"HFL-597787","PostedDate":"\/Date(1674472452000)\/","Description":"Insight Global is seeking a remote Epic PB Claims and Remittance Analyst to support a healthcare system located in Miramar, Florida. This Analyst will review all tickets submitted that are related to claims and remittances for billing for the healthcare system. The tickets come through ServiceNow and could be related to a remittance file not loading, a claim form needing to be changed or edits that need to be completed within Epic. The ideal candidate will be familiar with the following Charge Review, Charge Router, Credit/Follow-up, Benefits Engine within Epic PB. They should also be proficient with CDF, Remittance, Alt Payer Logic and Workflows within Epic PB. This Analyst will work very closely with their team which includes 3 other Analysts and they report director to the Supervisor of IT Business Applications. They will also work very closely with the billing, claims and remittances team within Finance.","Title":"Epic Professional Billing Claims and Remittance Analyst","City":"Hollywood","ExpirationDate":null,"PriorityOrder":0,"Requirements":"-3+ years of relevant healthcare IT experience within Epic Professional Billing-Experience configuring, designing, and supporting Epic Systems (must have true hands-on Epic PB build experience)-Strong understanding of ServiceNow ticketing-Associate\u0027s Degree","Skills":"-Epic PB or Claims Certification -Strong understanding of clinical billing applications and the healthcare IT industry","Industry":"Corporate Operations","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":90000.0000,"SalaryLow":65000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is seeking a remote Epic PB Claims and Remittance Analyst to support a healthcare system located in Miramar, Florida. This Analyst will review all tickets submitted that are related to... More claims and remittances for billing for the healthcare system. The tickets come through ServiceNow and could be related to a remittance file not loading, a claim form needing to be changed or edits that need to be completed within Epic. The ideal candidate will be familiar with the following Charge Review, Charge Router, Credit/Follow-up, Benefits Engine within Epic PB. They should also be proficient with CDF, Remittance, Alt Payer Logic and Workflows within Epic PB. This Analyst will work very closely with their team which includes 3 other Analysts and they report director to the Supervisor of IT Business Applications. They will also work very closely with the billing, claims and remittances team within Finance.Less

Oct 25, 2022

Pittsburgh, PA

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Software Engineering

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Perm

{"JobID":231447,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-79.9543636363636,"Longitude":40.4411818181818,"Distance":null},"State":"Pennsylvania","Zip":"15219","ReferenceID":"HPA-581200","PostedDate":"\/Date(1666700331000)\/","Description":"One of our large healthcare providers is looking for Sr. Architects to join their Payer Applications Architecture Department. This team is focused on providing governance and guidance to ensure IT initiatives align with Ecosystem Architecture and ultimately align with Health Plan IT goals, strategies, and objectives. The candidate will also provide technical recommendations on architecture and design best practices, and compliance of architecture to mandated enterprise standard. He/She will be responsible for overseeing and maintaining the architectural activities, architectural requirement analysis, coordinating meetings with stakeholders, prioritize architectural work items and maintain architecture roadmap and document decisions.This is an exciting opportunity to pursue a leadership role within a large organization. Ample growth opportunity available. This is a fully remote position working from home, also permanent offering great benefits and salary.","Title":"Sr. Architect","City":"Pittsburgh","ExpirationDate":null,"PriorityOrder":0,"Requirements":"*Around 8 years of software development exp. (also open to Java) *Currently/Most recently in a Lead or Architect Role *Strong expertise in DevOps and CI/CD implementation *Thorough knowledge of cloud-native development (Azure pref.)","Skills":"","Industry":"Software Engineering","Country":"US","Division":"IGH","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":151000.0000,"SalaryLow":135000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

One of our large healthcare providers is looking for Sr. Architects to join their Payer Applications Architecture Department. This team is focused on providing governance and guidance to ensure IT... More initiatives align with Ecosystem Architecture and ultimately align with Health Plan IT goals, strategies, and objectives. The candidate will also provide technical recommendations on architecture and design best practices, and compliance of architecture to mandated enterprise standard. He/She will be responsible for overseeing and maintaining the architectural activities, architectural requirement analysis, coordinating meetings with stakeholders, prioritize architectural work items and maintain architecture roadmap and document decisions.This is an exciting opportunity to pursue a leadership role within a large organization. Ample growth opportunity available. This is a fully remote position working from home, also permanent offering great benefits and salary.Less

Feb 01, 2023

Woonsocket, RI

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Programmer / Developer

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Contract

{"JobID":260758,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-71.4976818181818,"Longitude":42.0151454545455,"Distance":null},"State":"Rhode Island","Zip":"02895","ReferenceID":"BOS-600200","PostedDate":"\/Date(1675246580000)\/","Description":"Insight Global is seeking a remote Epic Claims Analyst/Developer to join a Fortune 10 retail pharmacy client as part of a team that creates innovative digital solutions aimed to make healthcare more accessible, more integrated and more reliable for more consumers. This senior Analyst/Application Developer is responsible for developing and implementing the specific technology and architecture necessary to deliver business solutions for Epic Specialty applications. This includes working collaboratively with business representatives, Epic and other IT resources in order to complete various Business requests. This also includes supporting the applications to solve critical production problems quickly.","Title":"Epic Claims Analyst/Application Developer","City":"Woonsocket","ExpirationDate":null,"PriorityOrder":0,"Requirements":"-3+ years of relevant healthcare IT experience within Epic Claims-Epic PB or Claims certification-Experience configuring, designing, and supporting EMR/EHR systems (must have true hands-on Epic Claims build experience)-Strong understanding of clinical billing applications and the healthcare IT industry-Analytical problem resolution and interpersonal skills-Eagerness and ability to work as an individual contributor in a team environment-Excellent communication skills-Previous go live experience on multiple implementations-Familiar with the following Epic Claims Areas: CDF, Remittance, Alt Payer Logic, Workflows","Skills":"-Knowledge of end to end professional billing revenue cycle workflows -BA/BS in healthcare or IT related field","Industry":"Programmer / Developer","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":72.0000,"SalaryLow":48.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is seeking a remote Epic Claims Analyst/Developer to join a Fortune 10 retail pharmacy client as part of a team that creates innovative digital solutions aimed to make healthcare more... More accessible, more integrated and more reliable for more consumers. This senior Analyst/Application Developer is responsible for developing and implementing the specific technology and architecture necessary to deliver business solutions for Epic Specialty applications. This includes working collaboratively with business representatives, Epic and other IT resources in order to complete various Business requests. This also includes supporting the applications to solve critical production problems quickly.Less

Jan 25, 2023

Miami, FL

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Claims/Denials

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Contract-to-perm

{"JobID":259495,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-80.1893636363636,"Longitude":25.7757272727273,"Distance":null},"State":"Florida","Zip":"33156","ReferenceID":"HFL-598666","PostedDate":"\/Date(1674667013000)\/","Description":"Day to Day:-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company\u0027s policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.","Title":"Remote Insurance Collections Specialist","City":"Miami","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Must Haves:-High School or GED -Minimum 1+ years of medical insurance collections experience with commercial payorsoCommercial payors -- Aetna, Cigna, United Healthcare, Fl Medicaid-Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)-Experience with insurance claims and insurance denials-Experience in payor portals and EHR systems","Skills":"Plusses:-Experience in a gastro specialty-Experience with eClinicalWorks","Industry":"Claims/Denials","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":24.0000,"SalaryLow":16.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Day to Day:-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of... More all transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company's policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.Less

Jan 30, 2023

Deerfield, IL

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Accounts Receivable

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Contract

{"JobID":260235,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-87.818,"Longitude":42.1828181818182,"Distance":null},"State":"Illinois","Zip":"60015","ReferenceID":"SFR-599558","PostedDate":"\/Date(1675077363000)\/","Description":"Job Overview: Insight Global is currently seeking an experienced Benefits Verification Specialist, that can work remotely in a HIPPA compliant workspace. As a Benefits Verification Specialist you will primarily work to confirm benefits for our customers whose insurance benefits are deemed Out of Network. This will at times consist of performing deep dives into the insurance to ensure correct billing for our patients. Our work environment is fast paced, with a collaborative atmosphere. Perform claims integrity by researching and identifying insurance information for the member Verify patient/claimant information, the payer network, in- or out-of-network status, research any/all information to determine coverage levels- to include calling insurance providers or accounts when necessary Calculate deductibles, out of pocket costs, and copays Provide updates on any/all benefits investigations related to the member\u0027s financial responsibility (such as co-pays, co-insurance) Perform order entry -- update records with complete patient and insurance information Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration Deliver on challenging work objectives, including meeting daily, weekly and /or monthly productivity metrics Produce high-quality, high-volume work by leveraging self-motivation and initiative in a remote work environment Assist and cross train in other departments as business needs dictate and during critical times","Title":"Benefits Verification Specialist","City":"Deerfield","ExpirationDate":null,"PriorityOrder":0,"Requirements":"2-3 years of experience working with medical insurance claimsWorking experience with co-pays and deductibles2-3 years experience with insurance benefits Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment High school diploma required. Bachelor\u0027s Degree, or relevant experience in healthcare preferred","Skills":"","Industry":"Accounts Receivable","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":35.8800,"SalaryLow":23.9200,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Job Overview: Insight Global is currently seeking an experienced Benefits Verification Specialist, that can work remotely in a HIPPA compliant workspace. As a Benefits Verification Specialist you... More will primarily work to confirm benefits for our customers whose insurance benefits are deemed Out of Network. This will at times consist of performing deep dives into the insurance to ensure correct billing for our patients. Our work environment is fast paced, with a collaborative atmosphere. Perform claims integrity by researching and identifying insurance information for the member Verify patient/claimant information, the payer network, in- or out-of-network status, research any/all information to determine coverage levels- to include calling insurance providers or accounts when necessary Calculate deductibles, out of pocket costs, and copays Provide updates on any/all benefits investigations related to the member's financial responsibility (such as co-pays, co-insurance) Perform order entry -- update records with complete patient and insurance information Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration Deliver on challenging work objectives, including meeting daily, weekly and /or monthly productivity metrics Produce high-quality, high-volume work by leveraging self-motivation and initiative in a remote work environment Assist and cross train in other departments as business needs dictate and during critical timesLess

Jan 30, 2023

Deerfield, IL

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Accounts Receivable

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Contract

{"JobID":260238,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":-87.8308181818182,"Longitude":42.1795454545455,"Distance":null},"State":"Illinois","Zip":"60015","ReferenceID":"SFR-599562","PostedDate":"\/Date(1675077363000)\/","Description":"Insight Global is currently seeking an experienced Claims Integrity Specialist that can work either in our Lincolnshire, IL office, or work Remotely. Our work environment is fast-paced with a collaborative atmosphere. Most of all, we are passionate about delivering innovations that improve the quality of health care and the patient experience. We are looking for like-minded individuals to join our team today! Specific job responsibilities include: Perform claims integrity on registrations Researches and identifies all missing insurance information for the member Verifies patient/claimant information, the payer network, in- or out-of-network status, researches any/all information to determine active policy Contacts accounts and patients to obtain corrected insurance information Administrative tasks include: tending to email, overnight shipping, fax, copy, scan, file, office supplies, general correspondence to ensure efficient follow up correspondence \u0026 operations. Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations. Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration Maintain consistent work presence and impact during normal business hours, and be available for ad hoc check-in\u0027s with managers and/or team leads. Deliver on challenging work objectives, including meeting daily, weekly and/or monthly productivity metrics. Produce high quality, high volume work by leveraging self-motivation and initiative in a remote work environment.","Title":"Claims Integrity Specialist","City":"Deerfield","ExpirationDate":null,"PriorityOrder":0,"Requirements":"High school diploma required. Bachelor\u0027s Degree or relevant experience in healthcare preferred. 2-3 years of experience with health insurance claims 2+ years of experience providing patient communication, researching, and documenting patient insurance information Excellent communication and customer service skills with a focus on assisting patients in a healthcare environment Strong attention to detail, time management and organizational skills Experience with Microsoft Office, Customer Relationship Management systems, and Provider Engagement Portals required. Salesforce experience highly desired","Skills":"","Industry":"Accounts Receivable","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":35.8800,"SalaryLow":23.9200,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is currently seeking an experienced Claims Integrity Specialist that can work either in our Lincolnshire, IL office, or work Remotely. Our work environment is fast-paced with a... More collaborative atmosphere. Most of all, we are passionate about delivering innovations that improve the quality of health care and the patient experience. We are looking for like-minded individuals to join our team today! Specific job responsibilities include: Perform claims integrity on registrations Researches and identifies all missing insurance information for the member Verifies patient/claimant information, the payer network, in- or out-of-network status, researches any/all information to determine active policy Contacts accounts and patients to obtain corrected insurance information Administrative tasks include: tending to email, overnight shipping, fax, copy, scan, file, office supplies, general correspondence to ensure efficient follow up correspondence & operations. Maintain confidentiality of patient data and medical records in compliance with HIPAA regulations. Comfortable and capable utilizing various communication tools including IM and video conferencing to enable virtual work collaboration Maintain consistent work presence and impact during normal business hours, and be available for ad hoc check-in's with managers and/or team leads. Deliver on challenging work objectives, including meeting daily, weekly and/or monthly productivity metrics. Produce high quality, high volume work by leveraging self-motivation and initiative in a remote work environment.Less

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